The nurse is caring for a 10-year-old child during a long hospitalization. What intervention should the nurse include in the care plan to minimize loss of control and autonomy during the hospitalization?
a. Allow the child to skip morning self-care activities to watch a favorite television program.
b. Create a calendar with special events such as a visit from a friend to maintain a routine.
c. Allow the child to sleep later in the morning and go to bed later at night to promote control.
d. Create a restrictive environment so the child feels in control of sensory stimulation.
ANS: B
School-age children may feel an overwhelming loss of control and autonomy during a longer hospitalization. One intervention to minimize this loss of control is to create a calendar with planned special events such as a visit from a friend. Maintaining the child's daily routine is another intervention to minimize the sense of loss of control; allowing the child to skip morning self-care activities, sleep later, or stay up later would work against this goal. Environments should be as nonrestrictive as possible to allow the child freedom to move about, thus allowing a sense of autonomy.
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